Most Relevant Information
Provider Data
| NPI Number: | 1003648171 |
| Provider Name: | JESSICA FARMER LCMHCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | A20210 |
Most Important Dates
| Enumeration Date: | 08/16/2024 |
| Last Updated: | 08/16/2024 |
Provider Practice Location
600 PARK OFFICES DR STE 300
DURHAM
NC
277091012
Practice Location Phone/Fax
| Phone: | 9195020861 |
| Fax: |
Provider Mailing Location
600 PARK OFFICES DR STE 300
DURHAM
NC
277091012
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |